Roosevelt Smith, PAC, ATR
Physician Assistant · Winona, MN
UnclaimedPAC, ATRNPI 1003836701
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2006-07-19
- Practice location
- Winona, MN
- Last NPPES update
- 2007-07-08
State licenses
- WI · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.